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Post HOLEP, Retrograde Ejaculation sometimes?

Men's Health | Last Active: Oct 23 7:12pm | Replies (14)

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@delmar418

Now, THIS is the kind of info I like to see. Well done. I am due for HoLEP next month for a prostate over 100cc. I would like to know if you were catheterized before your procedure and if so, for how long? I have been cathed since August 2022 and have waited a year for the HoLEP. This is a long time to have an indwelling catheter and I occasionally get flank pain.
That August, I ended up in the ER with about the same amount of retention and I didn't feel the need to urinate. They ran a bladder and kidney ultrasound and saw that both of my kidneys were holding urine that backed up, or had been for how long, I don't know and that I was retaining about 950mL in the bladder. It shot my blood pressure up, I was distended, out of breath walking and dizzy with occasional palpitations. After they put in a Foley, I felt relieved and it took about a week or so for things to normalize.
I now have a grade 2 chronic kidney damage eGFR toggling between 75 & 69.

Great job on documenting your experience and I wish you continued improvement to full recovery-no complications.

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Replies to "Now, THIS is the kind of info I like to see. Well done. I am due..."

No catheter. I probably should have been. I was able to avoid catheters with strict diet and intermittent fasting. I found through this process if I combined a sugar and a fat such as peanuts my prostate would inflame to the point where it took a very very long time to empty. Somewhere around the 2-hour mark. If I did one of them at a time such as eat sugar or peanuts it affected me a little bit but not as severe. So under those conditions I could get away with eating the two items. If you intermittent fast while eliminating any inflammatory items, especially sugar. Peanuts also are inflammatory. Doing this will greatly improve the inflammation in your prostate. My situation was more involved with the median lobe. I basically was diagnosed as being closed off. In other words they did not see how I was going to the bathroom without a catheter. I started the intermittent fasting April 2023. I noticed a vast Improvement about a month after I started. It was still a struggle but it wasn't hopeless as it was before.
Since you've been on a catheter for a while it will take you longer to normalize after the surgery due to your bladder not being used to pushing as hard to void. It just takes time, be patient, I definitely would recommend it. Especially, since it's a one and done procedure. In other words you shouldn't need another one in the future.